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pronator teres syndrome
Epidemiology:
- rare
Pathology:
- compression neuropathy of the median nerve at the elbow
Clinical manifestations:
- weakness of the flexor muscles in the forearm & hand
- parethesias or pain in the skin of the palm, thumb, index finger middle finger & half the ring finger
- tenderness over the proximal median nerve, aggravated by resisted pronation of the forearm
Special laboratory:
- nerve conduction study
- conduction velocity of the median nerve in the proximal forearm may be slow
- sensory nerve action potential at the wrist is normal
Management:
- RICED: rest, ice, compression, elevation, NSAIDs
- physical therapy or massage therapy
- surgical decompression
Related
pronator teres
General
entrapment neuropathy; nerve entrapment syndrome; pinched nerve
References
- Wikipedia: Pronator teres syndrome
http://en.wikipedia.org/wiki/Pronator_teres_syndrome